NHS Tayside Child Protection

Transcription

1 ITEM 5 APPENDIX 1 NHS Tayside Child Protection Training Strategy September 2010 Dr Joy Mires 07/12/2010

2 1. Introduction Child protection training is a high priority for NHS Tayside. It is responsible for ensuring that all staff are clear about their personal responsibilities for protecting and promoting the welfare of children and young people. To achieve this it is important that all staff, whether they have direct or indirect involvement with children, young people, parents or carers, receive appropriate training. All health care organisations have a duty to make arrangements to safeguard and promote the welfare of children and young people (Children Scotland Act 1995). A key recommendation of the audit and review of child protection services in Scotland, It's Everyone's Job to make sure I'm Alright, is the need for a more consistent approach to Child Protection training. 2 Aim The aim of this document is to set out a framework for staff development, from induction through to specialist and advanced knowledge, which should be used by all staff and their managers as a guide for identifying their development needs in relation to protecting children and young people. NHS Tayside needs to be confident that all staff and managers know how to recognise the predisposing factors, signs and indicators of child abuse know who to contact for advice and support are able to share information effectively and timely within the organisation and with other agencies in order to protect children and young people continually develop and maintain their knowledge and skills in relation to protecting children and young people 3. Objective Staff at all levels, medical, non-medical and students from all disciplines will receive child protection training to an appropriate competency level. Intercollegiate guidance recommends competency levels required by all health staff to protect children and provides a generic framework within which professional group training programmes should be developed (Safeguarding Children and Young People: Roles and Competences for Health Care Staff 2010, RCPCH framework of competencies 2008, NHS Education for Scotland core competency framework for the protection of children 2010(under consultation) Dr Joy Mires 2 07/12/2010

3 4. Supporting Requirements Corporate induction child protection training is mandatory for all new staff. Level 1 training is mandatory for all clinical staff. Managers should ensure that staff attend training at an appropriate level and monitor attendance and non-attendance. Protected time should be made available to enable staff to attend training. All managers should be aware of and support the child protection training agenda. NHS Tayside should have a training database of attendance. (Single Agency) Quality assurance of training will be ensured by monitoring, evaluating and updating annually. All staff will be asked to complete an evaluation form at the end of each training session. Production/assessment of training material will be undertaken by the CPT to ensure equity in standards across NHS Tayside. Where appropriate, validation of the content of training sessions by the University of Dundee and accreditation from professional awarding bodies will be sought. Appropriate trainers should be identified for the different training levels. The NHS Tayside Child Protection Team (CPT) is committed to providing Child Protection development opportunities and for ensuring relevance to current local and national requirements. The CPT will provide an annual core programme of single agency child protection developmental opportunities for all staff that supports the progression of the NHS Tayside Child Protection Training Strategy. This core programme will focus on the training levels within the training programme and will be available to all professional groups and meet the needs of the organisation The training coordinator should link closely with the child protection committees and partnership agencies to advise on multi-agency training to support the NHS Tayside training programme..the three Local Authority Child Protection Committees in Tayside are responsible for continuous improvement in Interagency Child Protection work and provide a range of supporting inter-professional development opportunities, including information about conferences and events designed to improve Child Protection Services. These have a major role in enabling staff to understand the roles and responsibilities of other disciplines and professions. The delivery of interagency development opportunities is supported by NHS Tayside via annual commitment to the Pan Tayside Minute of Agreement and through representation on the Child Protection Committee Training and Advisory Sub Groups, by the Child Protection Training Co-ordinator. The training coordinator will ensure that relevant child protection training updates and awareness raising information is circulated to managers and staff via representatives on NHS Tayside s Child Protection Action Group (CPAG). Service areas are also represented on the CPAG Training Sub-Group. It is through these channels that training development needs can be addressed. There will be a quarterly reporting of training attendance by the training coordinator as part of ongoing audit of attendance. Dr Joy Mires 3 07/12/2010

4 5 Identifying Development Needs Commitment to this strategy needs to be evidenced through the prioritisation of child protection training at appropriate levels in personal/professional development plans with all staff groups. Managers in conjunction with staff should identify the appropriate level of staff development for the tasks their staff undertake. The learning and development needs of all staff in relation to child protection must therefore be specifically considered at annual Personal Review meetings and reflected in Personal Learning Plans. Individual and service training plans will inform the development and delivery of single and interagency programmes. If managers are unsure about what staff development activity is appropriate, they should contact the Child Protection Training Co-ordinator. All clinical staff should undertake level 1training. The level, within the programme that staff require will vary and will depend on individual learning & development requirements. This will depend on: an assessment of their previous learning including that taken during qualifying or post qualifying events the learning they still need in order to carry out their role effectively or to prepare for a new role All staff accessing interagency training must ensure they have completed appropriate single agency level child protection training outlined in the Child Protection Core Training Programme. Supporting evidence must be provided to managers who will agree access to interagency development opportunities through the Personal Development and Review process. Interagency and other Child Protection specialist learning opportunities (i.e. Child Protection Certificate; Diploma/ Masters in Child Care and Protection Studies) will be available to identified key staff, who will be encouraged to lead Child Protection awareness raising in their appropriate related service areas. 6. Training Programme Induction All new staff must be aware of child protection issues and are required to complete the Corporate Induction Programme. Child Protection Procedures and Protocols will be available in all local induction materials/manuals. The Child Protection Corporate Induction programme and any local induction should be undertaken within three months of taking up post and within a year all new staff must access the relevant level of training provided via the Child Protection Core Programme. Web-based Child Protection induction material is available via the Doctors On-Line Training Service (DOTS) and all newly qualified doctors should complete the Child Protection Module, Foundation Level 1 Programme within their first year of employment. Dr Joy Mires 4 07/12/2010

5 Level 1- Awareness Raising and Response Updates should be undertaken every 2 years. Level 1a- e-learning module Aimed at all non clinical staff. Staff not directly involved in the care and/or contact with children and or their parents / carers should not have to progress further unless identified by their manager. Level 1b-e-Learning module Aimed at all clinical staff Aimed at medical trainee groups -FY1/FY2 -ST 1 onwards with limited/no direct contact with children and young people. Trainees in subsequent years (ST4 onwards) may want to progress to level 2a after agreement with their educational supervisor. Level 1b is mandatory for all clinical staff Level 1c-e-Learning module Aimed at managers This module will include recognition of abuse, responsibilities and roles, referral pathways, information sharing and reporting / documentation. Staff groups include: Level 1a A&C staff; Support Staff; Porters, Receptionists i.e. A&E, Out patients etc: Volunteers Level 1b Health Care & Nursing Assistants; Support School Nurse; District Nurse Support; Radiographers; AHP Adult Services; All other clinical staff Foundation Year 1& 2 doctors Specialty Trainees Yea 1 onwards with no direct contact children/young people e.g. acute medicine; cardiology; radiology; anaesthetics; old age/ adult psychiatry, surgery, renal (ST4 onwards can progress to Level 2a lecture) Level 1c Those responsible for managing/supervising staff Dr Joy Mires 5 07/12/2010

6 Level 2: Protecting Children and Young People Level 2a- 1.5 hours lecture Aimed at trainees -GP ST1 s, GP ST2 s -ST 1-3 who have direct contact with children and young people. Level 2b-Half day workshop Aimed at all staff that regularly come into contact with children and families as part of their work. New staff predominantly responsible for the management and provision of care of children or their parents or carers should also attend this training before accessing higher levels. Aimed at trainees -GP SPr 3 s -ST 4 onwards with direct contact with children and young people Updates should be undertaken every two years but individual training needs should be discussed and agreed at professional development meetings with managers. This level builds on level 1 including assessment and analysis of need, thresholds, documentation, steps of the child protection process beyond initial referral and legislation. It will be a half day workshop including lectures and case scenarios. Their will be a generic lecture base with tailored scenarios for different specialties e.g. GP s, dentists, community based staff, hospital based staff. Staff groups include: Level 2a GP trainees level 1 &2; Specialty Trainees 1-3 in Paediatrics; A&E; Dermatology; Ophthalmology; Obstetrics & Gynaecology; Otolaryngology; Child & Family Psychiatry; Genito-Urinary Medicine Level 2b Community Based Health visitors / PHN s: Midwives; School Nurses; Staff nurses; Adult Mental Health/Learning Disabilities and Substance Misuse staff, Child & Adolescent Mental Health Staff, Primary mental health Worker; Senior District Nursing staff; Clinical Psychologist; Dentists / Dental Nurses Hospital Based - Paediatric AHP s & Nurses; Midwives; play services coordinator; adult psychiatry/psychology clinicians, drug & alcohol clinicians; Doctors / Dentists and Specialty Trainees (4 onwards) with direct contact with children i.e. Paediatrics; A&E; Dermatology; Ophthalmology; Obstetrics & Gynaecology; Otolaryngology; Child & Family Psychiatry, Anesthetics etc Dr Joy Mires 6 07/12/2010

7 Level 3: Interagency/Tailored Single Agency Updates should be annual but this may be either through in-house, interagency or another specialist provider e.g. Local Universities; External conferences; STRADA. Individual training needs should be discussed and agreed at professional development meetings with managers. Aimed at staff who predominantly have responsibilities for the management and provision of care to children and young people who may be working with those at risk of harm or recovering from abuse or neglect. At this level access to interagency development programmes/accredited academic programmes should be supported. Tailored lectures/workshops on specific topics can be accessed at this level e.g. GP protected learning time events, trainee paediatric lectures (CPD) (Sexual; Physical and Pathways). Staff groups include: Community Based Health Visitors / PHN s: Midwives; School Nurses; Community staff nurses; CPN s / Community Learning Disabilities Teams: CAMHS; Substance Misuse Service; LAAC Nurse; Sexual Health Advisor; Paediatric Liaison Nurse; Senior Community Dental staff Hospital Based - Consultant/Specialist Midwife; Advanced Nurse Practitioners Children & Families; Paediatric and A&E nurses; Paediatric / Neonatal Doctors and Consultants; A&E Doctors and Consultants; Level 4: Management, Specialist & Advanced Updates at this level should be annually discussed and agreed by managers at professional development meetings. Aimed at all staff with specialist roles that require specialist knowledge and development to manage or deliver child protection services should undertake appropriate specialist training when required. Main Target Group -Named Doctors -Named Nurses -Named Midwives Staff in this category should have identified CPD sessions to cover quality assurance, supervision and appraisal, chairing meetings and teaching training. There should be participation in specialist professionals/support groups or peer support groups at local and national levels. Staff groups include: Advanced Nurse Practitioners for Vulnerable Children & Families; Child Protection Clinical Lead; LAAC Nurse; CAMHS practitioners Named nurses and doctors child protection Dr Joy Mires 7 07/12/2010

8 10. References Its Everyone s Job to Make Sure I m Alright: Report of Child Protection Audit and Review: Scottish Executive 2002 Protecting Children and Young People: Framework for Standards 2004(b) DOH Safeguarding Children-A Shared Responsibility 2000 RCN Child Protection Guidance for Nurses : RCN 2002 NHS Medical Guidance Child protection Inquiry into the circumstances surrounding the death of Kennedy McFarlane Dumfries and Galloway Child Protection Committee; Hammond H (2001) Report of the Caleb Ness Inquiry Edinburgh and the Lothian s Child protection Committee; Hammond H and McKinnon M (2003) The Victoria Climbie Inquiry: Summary and Recommendations (London) Lord Lamming (2003) Letter to NHS Boards (2003) Child Protection: Plan for Immediate Action Quality Indicators for Inspection: Scottish Executive June 2005 Safeguarding Children and Young People: Roles and Competences for Health Care Staff Intercollegiate Document (2010). Published by the Royal College of Paediatrics and Child Health (Supported by the Department of Health): RCPCH A Framework of Competences 2008 NHS Education for Scotland Core Competency Framework for the Protection of Children 2010(consultation) HMIe Child Protection Inspection Reports( ) Dr Joy Mires 8 07/12/2010

9 Appendix 1 Corporate Induction: All new Staff Objective To raise awareness of Children Protection and ensure new staff are clear about their own responsibilities to protect children and young people. Level 1: E -Learning Module: Awareness Raising & Response Objectives: All staff, appropriate to their role: are informed of their statutory duty to protect and promote the welfare of children are aware of what may alert them to the abuse and neglect of children and young people understand the importance of sharing and accurately recording information in the protection of children and young people know how and where to access advice and support and who to share concerns with when concerned about a child or young person can identify and know how to access relevant child protection policies and procedures Dr Joy Mires 07/12/2010

10 Level 1: All staff working in NHS Tayside Competency Knowledge Skills Criteria for assessment Method Details understand what constitutes child abuse and are confident in acting to protect a child or young person. able to articulate nature of concerns and act to protect children in accordance with up to-date protocols and procedures. ensure concerns and actions are recorded promptly and accurately. aware of the range of child abuse and indicators and risks of child abuse and neglect. know where to get advice and support. know what procedures to follow if they have concerns. understand the importance of sharing information, when to share and the dangers of not sharing information. know what to do if they experience barriers to referring a child/family. recognise signs of child abuse as this relates to their role seek advice and report concerns ensuring that they are listened to. carry out a basic risk assessment and decision making regarding actions. demonstrate an awareness of child abuse and appropriate referral mechanisms. demonstrate an appropriate information sharing. e-learning module (module appropriate to role). Update/ refresher training at regular intervals (minimum every 2 years) with written briefing of any changes in legislation and practice from Named/ Designated Professionals minimum of annually. National Workforce Competences Contribute to the protection of children from abuse HWB3 Level 1 Recognise and respond to possible abuse of children and young people Dr Joy Mires 10 07/12/2010

11 Level 2: Protecting Children & Young People Objectives: All staff that regularly come into contact with children and families as part of their work can: identify overt and covert signs and symptoms that may indicate child abuse. recognise how personal and professional values can influence our decisions in relation to the protection of children and young people identify the key factors that underpin effective assessment and help us recognise when children and young people are in need of protection. respond appropriately when required to share information with parents, carers and other professionals know what actions to take to address any concerns about children in need of protection and monitor the outcome of the action, in accordance with agreed local policies and procedures. know how to deal positively with a disclosure record, maintain and monitor records of concerns/abuse and share information appropriately according to best practice guidelines/local policies and procedures understand child protection processes and procedures and are clear about the purpose and function of a case conference and their role at a case conference. Dr Joy Mires 07/12/2010

12 Level 2: Clinical and non-clinical staff who have regular contact with parents, children and young people Competency Knowledge Details As level 1. respond and act, making appropriate referrals, to address any concerns about children and young people's welfare in accordance with agreed local policies and procedures ensuring practice complies with legal requirements and codes of practice. clearly evidence and record all decisions and actions concerning the protection of a child or young person. monitor outcomes to confirm that action is taken and risk minimised by the relevant people to protect the child or young person, consistent with legal and organisational requirements. contribute to any investigation, assessment and further action related to the possible abuse. As level 1. understand which groups of children are at risk of harm or neglect. have a Basic understanding of child health and stages of development. understand the key principles of Getting It Right for Every Child and the underpinning practice framework. know who to inform, seek advice from and how to contact key agencies when concerned about a child or young person. know when, how and with whom to share information know what to record, and when to feedback or follow up. aware of own (and others ) professional roles and boundaries. understand the next steps in the child protection process. aware of legislation and local protocols and procedures National Workforce Competences HWB3 Level 2 Contribute to protecting people (children) at risk Dr Joy Mires 12 07/12/2010

13 Skills Criteria for assessment Method As level 1. carry out a basic risk assessment keeping the child s needs at the centre of any decision making. identify, communicate and share/gather information with other professionals to support informed decision making. be able to document child protection concerns, differentiating between fact and opinion. when further support is needed, know when to take action and to refer to managers, supervisors or other relevant professionals/agencies. As level 1. demonstrate appropriate referral for assessment for family support to reduce risks of child maltreatment. demonstrate accurate documentation of concerns. Update/refresher training at regular intervals (minimum ever 2 years) with written briefing of any changes in legislation and practice from named/designated professionals. Level 2A 1.5 hour lecture Level 2B ½ day workshop Dr Joy Mires 13 07/12/2010

14 Level 3: Assessment & Referral, Post Abuse & Recovery Objectives: All Staff who predominantly have responsibilities for the management and provision of care to children and young people or who may be working with those at risk of harm or recovering form abuse or neglect: gain in-depth knowledge concerning child protection and related professional practice by acquiring advanced skills in direct practice (i.e. assessment of risk/ facilitating a child s disclosure of information, identifying concerns about welfare, making useful records to aid investigation and referral) have a range, depth, understanding and knowledge of child protection policy, practice and law, and in addition keep abreast of new developments in child protection policy and practice. contribute to and/or support/supervise other practitioners (if required) in carrying out child protection assessments/ child protection conferences and child protection plans. can work with families in a range of complex and demanding situations addressing issues such as attachment, resilience, parenting and recovery. facilitate and foster co-operative working between agencies in the child protection field and to understand levels of accountability of decision making in other agencies. Dr Joy Mires 14 07/12/2010

15 Level 3: All staff working predominately with children, young people and parents Competency Knowledge Details As level 2 and can :- assess risk and harm and acts in the best interests of the child at all times uses appropriate assessment models to identify children in need of single and/or integrated assessment plans. audits and evaluates own practice and ability to measure outcomes for children from planned intervention(s). act as a lead professional for a child in need of multi agency assessment and care plan demonstrate ability to work with families where there are child protection concerns. puts into practice knowledge of how to improve child resilience and reduce risks of harm. advises other agencies regarding the health management of child protection concerns. presents child protection concerns in a child protection conference As level 2 and :- is aware of implications of recent legislation/ national documents on practice. understands key principles and application of the GIRFEC practice model to a child in need of protection. understands multi-agency frameworks and child protection assessment processes. understand child protection investigation and the basics of forensic procedures. aware of Chid Protection Committee and remit. knows how to access the child protection register. aware of resources that may be available within health and other agencies, including the voluntary sector, to support families in need. Knows who to contact when there is an insufficient response from other organisations or agencies while maintaining the focus on what is in the child or young person s best interests. National Workforce Competences HWB3 Level 3 Implements aspects of a protection plan and reviews its effectiveness Dr Joy Mires 15 07/12/2010

16 Skills Criteria for Assessment Method As level 2 and able to undertake an assessment of risk using current practice models. to work [as part of the multi-disciplinary team] with children, young people and their families where there are child protection concerns. present child protection concerns verbally and in writing for case conferences/court proceedings, core groups, identify and outline the management of children in need. instigate measures to reduce the risk of child abuse occurring. make considered decisions on whether concerns can be addressed by providing or signposting to sources of information or advice. make considered judgements about how to act to safeguard and promote a child or young person s welfare. communicate effectively with children and families in stressful circumstances. As level 2 and demonstrates:- advanced knowledge of patterns and indicators of child maltreatment, knowledge of the structure and functioning of child protection committees, local child protection services understanding of information sharing issues related to child protection and children in need. an in-depth knowledge of each agency s role and responsibilities within local policies and procedures. Multidisciplinary/multi-agency training: report reviews, report writing, understanding roles and responsibilities of other agencies, signs and symptoms-interpretation of borderline signs and symptoms. Annual refresher update training or equivalent i.e. distance learning, reflective practice, shadowing a colleague or participation in child protection quality assurance processes. Dr Joy Mires 16 07/12/2010

17 Level 4: Specialist Roles - Named Professionals Staff who require specialist knowledge and development to manage or deliver child protection services Objectives: To ensure expert knowledge is available within NHS Tayside in the area of child protection. Level 4: named child protection professionals Competency Details As Level 3 and able to:- manage complex, high risk case work inform practice at all levels by leading on the dissemination of research evidence concerning the protection of children teach / train, and assure the competence of health service personnel. contributes to serious case review including action plans. supports development of robust internal child protection policy / guidelines / protocols and ensures systems and procedures for protecting children and young people are implemented undertake child protection training needs analysis and plan, design, deliver and evaluate multi-agency and in-house child protection training in partnership with others. advises, informs and give sound policy advice to NHS Board, Directors, Senior managers and practitioners regarding child protection (specialist/expert advice, both proactive and reactive). effectively engage with partner agency at strategic level and represent NHS Tayside on local /National Child Protection committees/ subgroups to set goals to improve health and well being of families in local community. leads and oversees child protection quality assurance and improvement processes. undertakes risk assessment of organisational ability to protect children and young people. give appropriate advice to external agencies/organisations. National Workforce Competences HWB3 Level 4 Develop and lead on the implementation of and overall protection plan Dr Joy Mires 07/12/2010

18 Knowledge Skills As level 3. aware of latest guidelines/best practice. aware of latest research perspectives and implications for practice. advanced understanding of child care law, confidentiality and consent. good understanding of forensic procedures. undertake forensic procedures when appropriate. ability to contribute to serious case reviews or equivalent process. advance understanding of methodology and procedures in relation to multi agency inspection/self evaluation and significant case review. As level 3 and able to:- give child protection policy advice. confidently challenge practice and support colleagues in challenging perceived views offered by other professionals. advise other agencies about the health management of child protection concerns. analyse and evaluate information and evidence to inform inter-agency decisionmaking. participate in a serious case review, undertaking internal management reviews as part of serious case reviews. lead improvements in child protection services. establish child protection quality assurance measures/processes. undertake training needs analysis, teach and educate health service professionals. identify individual learning aims and guidance in light of research findings. undertake forensic procedures when appropriate. ability to contribute to serious case reviews or equivalent process Dr Joy Mires 18 07/12/2010

19 Criteria for Assessment Method As level 3 and demonstrates:- appropriate and effective learning strategies to enable competence development for staff at different levels. development of evidence based clinical guidance. effective consultation with other health care professionals and participation in interdisciplinary discussions. participation in audit, design and evaluation of service provision, including formulation of action plans and strategies to address issues raised by audit and serious case reviews. Five sessions [or equivalent on-going learning equating to 2 ½ -3 days] a year CPD to cover quality assurance, chairing meetings, supervision and appraisal, teaching training. Participation in specialist professionals/support groups or peer support networks at local and national level. Dr Joy Mires 19 07/12/2010

20 Appendix 2 NHS Core training and interagency child protection training programmes Levels of Child protection Training Training Corporate Level 1 Level 2 Level 3 Level 4 Level Delivery Corporate Induction Programme NHS Tayside e-learning module Level 2a 1.5hour Mixed interagency courses Level 2b Half day training session Tailored lectures/speciali st workshops External Conferences In-house or external events specialist provider e.g. STRADA, University Tailored lectures/speciali st workshops Accredited University programmes Updates Staff Group On taking up post All staff new in post Update at this level every 2 years Update every 2 years Via PDP Mandatory minimum for all clinical staff. Level 1a e-learning Level 1b e-learning All Non Clinical Staff Clinical Staff with no direct children/young people contact For clinical staff who come into regular contact with children and young people or their adult carers as part of their work. Level 2a 1.5 hour lecture Level 2b Half Day GP St1,2 Specialty Trainees (SpT) 1-3 with direct contact All clinical staff with direct contact Annual Update For clinical staff regular contact and direct responsibilities for management of care of with children and young people or their adult parents/ carers Annual Update Identified professionals with specific child protection function, for example, with a role for supervising and advising others in their role in child protection cases. Medical Trainee Groups:- Foundation year 1 &2 St1 onwards Example s Level 1c e- learning Managers Level 1a A&C staff; Support Staff; Porters, Receptionists i.e. A&E, Out patients etc: Volunteers Level 1b Health Care & Nursing Assistants; Support School Nurse; District Nurse Support; Radiographers; AHP Adult Services; All other clinical staff Level 2b Half Day Level 2a GPSt3 SpT 4 - onwards with direct contact GP trainees level 1 &2; Specialty Trainees 1-3 in Paediatrics; A&E; Dermatology; Ophthalmology; Obstetrics & Gynaecology; Health Visitors/PHNs: Midwifes; School Nurses; Community staff nurses; CPNs /Community Learning Disabilities Teams: CAMHS; Dr Joy Mires 07/12/2010 Advanced Nurse Practitioners for Vulnerable Children & Families; Child Protection Clinical Lead; LAAC Nurse; CAMHS practitioners

21 Foundation Year 1& 2 doctors Specialty Trainees Year 1 onwards with no direct contact children/young people e.g. acute medicine; cardiology; radiology; anaesthetics; old age/ adult psychiatry, surgery, renal (ST4 onwards can progress to Level 2a lecture) Otolaryngology; Child & Family Psychiatry; Genito- Urinary Medicine Substance Misuse Service ;LAAC Nurse; Sexual Health Advisor; Paediatric Liaison Nurse; Consultant/Spec ialist Midwife; Named nurses and doctors child protection Level 1c Those responsible for managing/supervising staff Level 2b Community Based Health visitors/phns: Midwives; School Nurses; Staff nurses; Adult Mental Health/Learning Disabilities and Substance Misuse staff, Child & Adolescent Mental Health Staff, Primary mental health Worker; Senior District Nursing staff; Clinical Psychologist; Dentists/Dental Nurses Advanced Nurse Practitioners Children & Families; Paediatric and A&E nurses; Paediatric /Neonatal Doctors and consultants; A&E Doctors and Consultants; Senior Community Dental staff Hospital Based - Paediatric AHPs & Nurses; Midwifes; play services coordinator; adult psychiatry/psycholog y clinicians, drug & alcohol clinicians; Doctors/Dentists and Specialty Trainees (4 onwards) with direct contact with children i.e. Paediatrics; A&E; Dermatology; Ophthalmology; Obstetrics & Gynaecology; Otolaryngology; Child & Family Psychiatry, Anesthetics etc Dr Joy Mires 21 07/12/2010

22 Appendix 3 Child Protection Development Routes Levels 1-4 What Training Should I attend? All Existing Staff New Staff Agreed via Annual PDP Induction Corporate Induction Sessions Doctors on line training (Foundation year ) Level 1: Awareness Raising and Response Within 12 months Mandatory minimum for all clinical staff e-learning modules available for all non clinical staff & managers e-learning session every 2 years KSF: HWB3 Level 1 Update at Level 1 every two years Agreed via Annual PDP Within months Level 2: Protecting Children & Young People Suitable for those staff building their experience of child protection work or refresher/update training for more experienced staff who may also support others in the protection of children. Level 2a :1.5 hour lecture for GP Trainee 1-2; Specialty Trainees (SP1-3) who come into regular contact with children and young people. Level 2b: Half day work shop for All clinical staff who come into regular contact with children and young people or their adult carers as part of their work GPSt3 and SpT4 -onwards with direct contact with children & young people Updateat Level 2 every two years KSF: HWB3 Level 2 Agreed via Annual PDP Level 3: Multi-Agency Training For clinical staff with regular contact and direct responsibilities for management of care of with children and young people or their adult parents/ carers. All staff must agree attendance at this training through PDP process and have completed Level 2 training where appropriate Update at Level 3 Annually Agreed via Annual PDP Level 4: Specialist Training Identified professionals with specific child protection function, for example, with a role for supervising and Update at advising others in their role in child protection cases Level 4 Dr Joy Mires 07/12/2010 Annually